Willard C. Spurlock

Individual provider Child & Adolescent Psychiatric/Mental Health Registered Nurse · NPI 1407715600

Willard C. Spurlock is a Child & Adolescent Psychiatric/Mental Health Registered Nurse in Dyer, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in: IN
In the registry since: 2026

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Practice location Address checks out

14901 W 102nd Ave
Dyer, IN 46311-7750
Phone: (708) 271-0390

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Specialties & licences

Child & Adolescent Psychiatric/Mental Health Registered Nurse (primary)	Taxonomy 163WP0807X · Licence 28268894C (IN)

Record details

NPI number	1407715600
Entity type	Individual (Type 1)
Gender	Male
Sole proprietor	Yes
NPI enumerated	January 21, 2026
Last updated in NPPES	January 21, 2026
Certification date	January 21, 2026
Mailing address	14901 W 102nd Ave, Dyer, IN 46311-7750